非语言沟通对脑卒中失语患者负性情绪和自理能力的影响

Effect of non-verbal communication on negative moods and self-care ability of aphasia patients with stroke

目的探讨非语言沟通对脑卒中失语患者负性情绪和自理能力的影响。方法将100例脑卒中失语患者随机分为观察组和对照组,每组各50例。对照组接受常规药物治疗、基础护理、肢体功能锻炼,观察组在此基础上进行非语言沟通的护理干预。分别在入院后第2d和干预后第21d对两组患者进行焦虑(SAS)、抑郁(SDS)和Barthel指数评分。结果两组患者干预前SAS、SDS和Barthel指数评分比较,差异无统计学意义(均P>0.05);干预后观察组SAS、SDS评分明显低于对照组,而Barthel指数评分明显高于对照组(均P<0.05)。结论非语言沟通对缓解脑卒中失语患者负性情绪及改善自理能力有积极意义。

Objective To explore the impact of non-verbal communication on negative moods and self-care ability of patients with stroke and aphasia. Methods A total of 100 patients with stroke and aphasia were divided randomly into the observation group and the control group. The control group （50 cases） only received routine medication treatment, basic nursing and limbs functional exercises; while the observation group （50 cases）, besides these, received nursing intervention of non- verbal communication. The two groups were tested for SAS, SDS and Barthel indices on the second day after hospitalization and the 21st day after intervention, respectively. Results Before the treatment, there were no statistical differences in SAS, SDS and Barthd indices between the observation group and the control group. After the treatment, SAS and SDS indices in the observation group were significantly lower than those in the control group, but the Barthel indices were obviously higher than that in the control group. Conclusion Non-verbal patient communication has its positive significance in improving aphasia patients＇ negative moods of anxiety and depression and their self-care ability.